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胸椎骨折合并胸外伤的外科治疗
引用本文:徐云钦,王朝阳,梁再跃,谭俊铭,陈才平,朱亚中,冯水云.胸椎骨折合并胸外伤的外科治疗[J].脊柱外科杂志,2003,1(6):343-345.
作者姓名:徐云钦  王朝阳  梁再跃  谭俊铭  陈才平  朱亚中  冯水云
作者单位:解放军第98医院骨一科,中国,浙江,313000
摘    要:目的 总结 17例胸椎骨折患者的特点与诊疗情况 ,为提高此类合并胸外伤患者的疗效提供有效的治疗方案。方法 分析了 17例胸椎骨折患者的临床特点、诊疗经过、近远期随访结果。结果  14例 (82 .4 % )合并肋骨骨折 ,11例 (6 4 .7% )合并血气胸 ,10例 (5 8.8% )合并严重脊髓伤 ,3例 (30 % )远期脊髓伤为有用恢复。结论 胸椎骨折常合并肋骨骨折、血气胸、严重脊髓损伤 ,预后较差 ,为此应重视合并胸外伤的胸椎骨折的围手术期处理

关 键 词:胸椎骨折  内固定  血气胸  脊髓损伤
文章编号:1672-2957(2003)06-0343-0345-03
收稿时间:2003/11/13 0:00:00
修稿时间:2003年11月13

To study the treatment of thoracic vertebral fracture with chest injury
XU Yunqin,WANG Chaoyang,LIANG Zaiyue,TAN Junming,CHEN Caiping,ZHU Yazhong and FENG Shuiyun.To study the treatment of thoracic vertebral fracture with chest injury[J].Journal of Spinal Surgery,2003,1(6):343-345.
Authors:XU Yunqin  WANG Chaoyang  LIANG Zaiyue  TAN Junming  CHEN Caiping  ZHU Yazhong and FENG Shuiyun
Affiliation:First Department of Orthopaedics, The 98th Hospital of PLA, Zhejiang, China 313000;First Department of Orthopaedics, The 98th Hospital of PLA, Zhejiang, China 313000;First Department of Orthopaedics, The 98th Hospital of PLA, Zhejiang, China 313000;First Department of Orthopaedics, The 98th Hospital of PLA, Zhejiang, China 313000;First Department of Orthopaedics, The 98th Hospital of PLA, Zhejiang, China 313000;First Department of Orthopaedics, The 98th Hospital of PLA, Zhejiang, China 313000;First Department of Orthopaedics, The 98th Hospital of PLA, Zhejiang, China 313000
Abstract:Objective To study the treatment of thoracic vertebral fracture with chest injury in 17 patients. Methods Analyze the clinical characteristic and process and result of the treatment .Results 14(82.4%) patients with ribs fracture ,11(64.7%)patients with hemopneumothorax , 10(58.8%)patients with severe spinal cord injures. Only 3 patients have useful recover. Conclusions The thoracic vertebral fracture patients often combine with ribs fracture, hemopneumothorax , severe spinal cord injure. We must think highly of the treatment of period around the operation.
Keywords:thoracic vertebral fracture  internal fixation  hemopneumothorax  spinal cord injuries
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